Otoplasty

What is an Otoplasty?

Otoplasty is also known as cosmetic ear surgery or ear pinning surgery. This reconstructive surgery is intended to create a more flattering ear position, shape, or size, typically moving the ears into a less prominent position or correcting misshapen ears and ear structure due to congenital defects or injury. Otoplasty is a cosmetic procedure, meaning it only affects the appearance of the ears in relation to the rest of the face.

Who is a Candidate for Otoplasty?

Otoplasty can be an option at any stage of life so long as the ears have reached full development, which occurs as early as age five. Many parents choose otoplasty for their children at an early age so they may avoid teasing as they begin school and recover more quickly. However, adults may also choose otoplasty later in life to correct protruding ears.

Otoplasty candidates must be generally healthy overall and should be nonsmokers. During a consultation, Dr. Paquet will ask questions about your health history to determine whether otoplasty is safe for you. Be prepared to answer questions regarding any conditions or health concerns, allergies, or medications you take. If you’re seeking otoplasty for your child, they should be able to communicate their thoughts and consent to the procedure.

Benefits of Otoplasty

Otoplasty can be a transformative procedure, especially for patients who have been teased for their ears or are dissatisfied with the way they look. The overall goal of otoplasty is less about creating perfection and more about making the ears less noticeable. There are many other benefits of otoplasty, including:

• Minimally invasive: Otoplasty requires only small incisions and can even be performed with local anesthesia.
• Low downtime: Most patients can return to their daily activities within a few days, although full recovery can take longer.
• More balanced appearance: Otoplasty can improve the ratio of the ears to the rest of the head, creating a more aesthetically balanced look.
• Better symmetry: If you have noticeable symmetry in your ears, otoplasty can make them look more similar.
• Improved confidence: Large ears can be a source of low self-confidence, meaning otoplasty can help you feel more comfortable in your body.
• Long-lasting results: Because the ears change very little over a lifetime, otoplasty can produce long-lasting results.

Otoplasty is a procedure that carries a high rate of patient satisfaction because of its ability to balance the ears with the rest of the head and face, helping them be less noticeable. For many patients, it can have a large impact with only minimal changes.

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Types of Otoplasty

Otoplasty is sometimes called “ear pinning” but can be performed a couple different ways – these two techniques may even be combined. If you have cosmetic goals that don’t involve pinning the ears back or that involve making other types of changes, otoplasty can still likely help. The types of otoplasty include:

Ear Pinning

Ear pinning refers to bringing the ears closer to the head. An incision is made in the back of the ear, and it’s sutured into a position that’s flusher with the scalp. It’s an effective way to reduce the ears’ protrusion and make them stick out less. If size isn’t an issue, ear pinning can typically be performed alone.

Cartilage Reduction

If the size of your ears bothers you, they can be reduced in size. Cartilage reduction involves creating a small incision in the back of the ear and removing a piece of cartilage and skin. The incisions are then closed. If it’s performed with ear pinning, the ears can be sutured in a more “pinned” position.

The Otoplasty Procedure 

Otoplasty or ear correction surgery can typically be performed under local anesthesia, though general anesthesia may be needed if the surgery is paired with other procedures. The technique used will vary depending on the goals of the surgery. In most cases, incisions are made on the back of the ears or within the inner creases of the ears; this allows for easily concealed scarring. Through these incisions, Dr. Paquet will remove excess skin or ear cartilage and reshape the tissues according to your goals. This typically involves folding the inner cartilage and securing it into its new position using internal stitches. In most cases, the otoplasty procedure can be completed in two hours or less. Afterward, you can return home right away.

Recovery After Otoplasty 

Otoplasty is an outpatient procedure, so you can return home with someone to drive you and care for you in the early stages of your recovery. Your ears will be bandaged and covered to support and protect them. Some discomfort and itching are normal immediately after otoplasty. Dr. Paquet can prescribe medication to keep you comfortable. As you heal after your otoplasty, it’s important to avoid putting pressure on the ears by sleeping on your back or stomach, never your side. Do not rub or place force on the incisions. You’ll be given special instructions on how to sleep, which includes staying in a reclined position to avoid swelling.

Dr. Paquet will schedule a post-op appointment several days after your surgery. During this appointment, bandages will be removed. The ears are typically still swollen and red at this stage, so you will be instructed to wear a supportive headband while sleeping for the next several weeks. This helps the ears heal in the proper position. If you have long hair that can cover your ears, you may feel comfortable returning to social activities at this point. If not, you may want to give yourself additional time.

Frequently Asked Questions about Ear Surgery